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Equipment Financing Application

Already determined what equipment your business needs? By filling out this Equipment Financing Application, you are taking the next step to getting approved for financing your equipment. Getting approved can often happen in less than 24 hours. Get approved today!

Financing Request Type

Equipment Description

Is the Equipment New / Used?

New
Used

Has the Equipment Been Delivered? Yes / No

Cost (min $5,000)

Proposed Term (months)

Name

Street Address

City

County

State

ZIP Code

Phone Number

Email Address

Legal Name

Doing Business As

Street Address

City

State

ZIP Code

Email Address

Is the equipment located at the above address?

Different Address

Street Address

City

State

ZIP Code

Nature of Business

Federal ID (9 Digits)

Phone

Website

At least 51% of the company is owned by an individual who is a:

Ownership Status

Business Type

Business Start Date

Control Date

Number of Employees

Gross Annual Revenue

Guarantor Name

Guarantor Title

Citizenship Status

% Ownership

Guarantor Phone

Guarantor Email

Social Security Number

Date of Birth

Street Address

City

State

ZIP Code

Legal

By submitting this form, you agree to receive occasional emails from Lease Corp Bank that you can opt out of. The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (providing that the applicant has the legal capacity to enter into a binding contract), because all or part of the applicant’s income derives from any public assistance program or because the applicant has, in good faith, exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the FDIC Consumer Response Center 1100 Walnut St, Box #11 Kansas City, MO 64106.